ATI PHARMACOLOGY PROCTORED EXAM 2026
UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES
|VERIFIED & REVISED ANSWERS (NEW)!!
1. In a clinical scenario where a patient presents with symptoms of
hypermagnesemia, including muscle weakness and respiratory depression,
what immediate action should the nurse take?
Monitor the patient's vital signs every hour.
Prepare to administer insulin and glucose.
Initiate oxygen therapy to assist breathing.
Administer calcium gluconate as ordered.
2. Why is it important for a client to understand the proper administration of
theophylline?
Understanding is only necessary for medications with severe side
effects.
Proper administration ensures effective medication absorption and
minimizes side effects.
It is not important as long as the client takes the medication.
Clients should always consult a pharmacist instead of the nurse.
3. If a patient receiving lisinopril exhibits signs of hypotension, what should the
nurse's immediate action be?
Document the hypotension without further action.
Continue administering the medication as prescribed.
Increase the patient's fluid intake without consulting a provider.
, Assess the patient's vital signs and notify the healthcare provider.
4. A nurse is assessing for allergies with a client who is scheduled to receive the
influenza vaccine. Which of the following allergies should the nurse report to
the provider as a possible contraindication to receiving the vaccine?
Shellfish
Peanuts
Milk
Eggs
5. If a nurse discovers that a client with a severe penicillin allergy has been
prescribed cefuroxime, what should be the nurse's immediate action?
Monitor the client for nausea.
Administer the medication as prescribed.
Document the prescription in the client's chart.
Notify the healthcare provider about the allergy.
6. Why is it important to store sublingual nitroglycerin tablets in their original
glass bottle?
The original glass bottle protects the tablets from moisture and
light, preserving their effectiveness.
The glass bottle is easier to carry than other containers.
The glass bottle helps to prevent the tablets from breaking.
The tablets need to be kept in a dark place to remain effective.
7. A nurse is preparing to administer subcutaneous heparin to a patient with a
history of abdominal surgery. What should the nurse consider regarding the
injection site?
Choose an injection site that is at least 5 cm from the surgical site.
, Massage the site after the injection to enhance absorption.
Use a larger gauge needle to ensure proper delivery.
Administer the injection directly over the surgical site.
8. If a patient receiving amoxicillin develops laryngeal edema, what should be
the nurse's immediate action?
Administer an antihistamine and reassess in an hour.
Administer epinephrine and call for emergency assistance.
Continue monitoring the patient without intervention.
Document the finding and inform the physician at the end of the shift.
9. Who is primarily responsible for reporting a medication error in a clinical
setting?
The nurse who identifies the error
The nurse who caused the error
The charge nurse
The quality improvement committee
10. What is a contraindication for administering acetaminophen?
Chronic kidney disease
Diabetes mellitus
Hepatitis B vaccine within the last week
Alcohol use disorder
11. Describe why improved cognition is a significant indicator of treatment
effectiveness in a patient with hyponatremia.
Improved cognition suggests that the patient is responding well to
, any medication administered.
Improved cognition indicates that the patient's sodium levels are
stabilizing and brain function is returning to normal.
Improved cognition shows that the patient is hydrated and has no
signs of dehydration.
Improved cognition means that the patient is no longer experiencing
any side effects from the hypertonic solution.
12. If the nurse administers IV tobramycin to a patient with a creatinine level of
2.5 mg/dL, what potential complication should the nurse monitor for?
Hypokalemia
Respiratory depression
Hyperglycemia
Nephrotoxicity
13. Which treatment would the nurse expect to administer for hypermagnesmia?
potassium chloride IV
sodium chloride IV
calcium gluconate IV
magnesium sulfate IV
14. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
Improved cognition
Cardiac arrhythmias absent
Absent Chvostek's sign
UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES
|VERIFIED & REVISED ANSWERS (NEW)!!
1. In a clinical scenario where a patient presents with symptoms of
hypermagnesemia, including muscle weakness and respiratory depression,
what immediate action should the nurse take?
Monitor the patient's vital signs every hour.
Prepare to administer insulin and glucose.
Initiate oxygen therapy to assist breathing.
Administer calcium gluconate as ordered.
2. Why is it important for a client to understand the proper administration of
theophylline?
Understanding is only necessary for medications with severe side
effects.
Proper administration ensures effective medication absorption and
minimizes side effects.
It is not important as long as the client takes the medication.
Clients should always consult a pharmacist instead of the nurse.
3. If a patient receiving lisinopril exhibits signs of hypotension, what should the
nurse's immediate action be?
Document the hypotension without further action.
Continue administering the medication as prescribed.
Increase the patient's fluid intake without consulting a provider.
, Assess the patient's vital signs and notify the healthcare provider.
4. A nurse is assessing for allergies with a client who is scheduled to receive the
influenza vaccine. Which of the following allergies should the nurse report to
the provider as a possible contraindication to receiving the vaccine?
Shellfish
Peanuts
Milk
Eggs
5. If a nurse discovers that a client with a severe penicillin allergy has been
prescribed cefuroxime, what should be the nurse's immediate action?
Monitor the client for nausea.
Administer the medication as prescribed.
Document the prescription in the client's chart.
Notify the healthcare provider about the allergy.
6. Why is it important to store sublingual nitroglycerin tablets in their original
glass bottle?
The original glass bottle protects the tablets from moisture and
light, preserving their effectiveness.
The glass bottle is easier to carry than other containers.
The glass bottle helps to prevent the tablets from breaking.
The tablets need to be kept in a dark place to remain effective.
7. A nurse is preparing to administer subcutaneous heparin to a patient with a
history of abdominal surgery. What should the nurse consider regarding the
injection site?
Choose an injection site that is at least 5 cm from the surgical site.
, Massage the site after the injection to enhance absorption.
Use a larger gauge needle to ensure proper delivery.
Administer the injection directly over the surgical site.
8. If a patient receiving amoxicillin develops laryngeal edema, what should be
the nurse's immediate action?
Administer an antihistamine and reassess in an hour.
Administer epinephrine and call for emergency assistance.
Continue monitoring the patient without intervention.
Document the finding and inform the physician at the end of the shift.
9. Who is primarily responsible for reporting a medication error in a clinical
setting?
The nurse who identifies the error
The nurse who caused the error
The charge nurse
The quality improvement committee
10. What is a contraindication for administering acetaminophen?
Chronic kidney disease
Diabetes mellitus
Hepatitis B vaccine within the last week
Alcohol use disorder
11. Describe why improved cognition is a significant indicator of treatment
effectiveness in a patient with hyponatremia.
Improved cognition suggests that the patient is responding well to
, any medication administered.
Improved cognition indicates that the patient's sodium levels are
stabilizing and brain function is returning to normal.
Improved cognition shows that the patient is hydrated and has no
signs of dehydration.
Improved cognition means that the patient is no longer experiencing
any side effects from the hypertonic solution.
12. If the nurse administers IV tobramycin to a patient with a creatinine level of
2.5 mg/dL, what potential complication should the nurse monitor for?
Hypokalemia
Respiratory depression
Hyperglycemia
Nephrotoxicity
13. Which treatment would the nurse expect to administer for hypermagnesmia?
potassium chloride IV
sodium chloride IV
calcium gluconate IV
magnesium sulfate IV
14. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
Improved cognition
Cardiac arrhythmias absent
Absent Chvostek's sign
